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Anterior ankle impingement.

Johannes L Tol1, C Niek van Dijk

  • 1Department of Sports Medicine, Medical Center Haaglanden, P.O. Box 411, 2260 AK Leidschendam, The Netherlands. h.tol@mchaaglanden.nl

Foot and Ankle Clinics
|June 27, 2006
PubMed
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Anterior ankle impingement syndrome causes pain during dorsiflexion. Arthroscopic surgery effectively treats soft tissue overgrowths and osteophytes, especially when joint space is preserved.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Podiatry

Background:

  • Anterior ankle impingement syndrome presents as pain during dorsiflexion.
  • Plain radiographs may not reveal anteromedial impingement.
  • An oblique radiographic view is often necessary for diagnosis.

Purpose of the Study:

  • To evaluate arthroscopic treatment for anterior ankle impingement.
  • To differentiate treatment strategies based on joint space narrowing.

Main Methods:

  • Arthroscopic excision of soft tissue overgrowths and osteophytes.
  • Radiographic assessment including oblique views.
  • Classification of lesions based on joint space narrowing (Grade II).

Main Results:

Related Experiment Videos

  • Arthroscopic excision is effective for anterior impingement without joint space narrowing.
  • Arthroscopic treatment is a viable option for Grade II lesions with joint space narrowing.

Conclusions:

  • Arthroscopic surgery offers an effective treatment for anterior ankle impingement.
  • For Grade II lesions, arthroscopy is a key therapeutic option alongside arthrodesis or prosthesis.